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Eastern Region Housing LIN

Eastern Region Housing LIN. Overview of the Care Bill Joanna David – Assistant Director Social Care Reform DH/LGA/ADASS Joint Programme Board March 25 th. E-mail: Joanna.David@local.gov.uk. A critical time for local government.

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Eastern Region Housing LIN

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  1. Eastern Region Housing LIN Overview of the Care Bill Joanna David – Assistant Director Social Care Reform DH/LGA/ADASS Joint Programme Board March 25th E-mail: Joanna.David@local.gov.uk

  2. A critical time for local government • Wide ranging and significant piece of legislation - major opportunity to shape the long term future of adult social care • Core principles have strong sector and stakeholder support – prevention, early intervention, independence and well being • Very substantial change programme – integral links to the wider health and care reforms – BCF, Pioneers, Public Health

  3. Programme Board • Joint Programme Board - formal partnership between DH, LGA and ADASS to support implementation of Care Bill - innovative, collaborative - strong buy-in from all Partners • Spirit of engagement and co-production • Legislation that is being shaped in partnership between central and local government, providers and the third sector

  4. Stakeholder engagement groups Care & Support Programme & Implementation Board Joint Transformation Group Cabinet Office LGA Boards Cross-sector stakeholder groups x3 sub-groups – Assessment & Eligibility, Paying for Care, Workforce Community Wellbeing Board Improvement Board LGA Executive (by exception) HTTG Major Projects Authority DH & LG Strategic Forum Prevention Care Planning & Personalisation Assessment & Eligibility Care Markets Law Reform Paying for Care Charging for Care Quality & Safety Information & Advice Care planning & personalisation Working Group A&E Task & Finish Group (TG) DCMQC Project Board Integration Implementation Board Paying for Care Task & Finish Group (with input from ADASS Resources network) NHS key Stakeholder Groups Inter- departmental Ministerial Group (IDMG) TLAP Info, Advice & Brokerage working group LGA/ADASS Working group ADASS Housing Network Cross-Governmental officers Group Info and Advice Core Advisory group Appeals & Complaints Virtual reference group Financial Services Steering Group Cross-border placements Virtual reference group Market Oversight & Provider Failure working group ITF Ministerial Board Transition working group Delegation Virtual Advice Network Prevention Task and Finish Group Advocacy Core Advisory Group Mkt shaping & commissioning sub-group of TLAP’s National Market Forum C&S in Prisons:: Health & Justice Partnership Board Safeguarding Adult Advisory Group (SAAG) Financial Services CEO Group Ordinary Residence Virtual reference group Continuity of care Virtual Advice Network CSA Bill Group Awareness-raising Working Group • 4x Stakeholder • T&F Groups: • Family and Community • Safeguarding Adults • Multi-agency • Practice • Virtual reference groups: • Advocacy • Info & Advice Choice of accommodation Virtual reference group Virtual reference group – Transitional Provision X-Government carers’ strategy Board Working Age Adults working group Standing Commission on Carers Virtual reference group – Sight Registers Communications Paying for the Reforms Workforce Informatics ICSG Care and Support Reform Comms Group Outcomes & Information Development Board ADASS IMG Longer-term group (TBC) Paying for Care Task & Finish Group (with input from ADASS Resources network) Adult Social Care Workforce Development Board ●Established non-DH forums ● Established DH-led stakeholder group ●New single purpose group ●Virtual reference groups (for Bill only)

  5. Key areas of change – Part 1 • National eligibility threshold • Legal right to a personal budget • Carers to have the same rights as those they care for • New duty to prevent / delay the need for care • New duty to provide information and advice to all residents – not just those receiving care

  6. Changes Part 1 • Duty on councils to join up care and support with health and housing where this delivers better care and promotes well being • Duty on councils to ensure there is a wide range of care and support services available that enable local people to choose the care and support services they want (market shaping)

  7. Key changes Part 2 – funding reform • Financial protection - everyone will know the maximum they will pay towards the cost of meeting their eligible care needs • People will be protected from having to sell their home in their lifetime to pay for any care home costs • People will be helped to take responsibility for planning and preparing for their care needs in later life

  8. Key changes – Part 2 • Cap on costs of meting eligible care needs – to be set at £72k when it is introduced (adjusted annually) • No contribution expected for young people entering adulthood with an eligible care need • Lower cap for adults of working age (level to be determined) • Increase in capital thresholds /extension to the means test providing more support to people with modest wealth • New legal basis for charging covering both residential and non-residential care • Introduction of flat rate contribution towards living costs for people in residential care

  9. The legislative timetable • The Bill has now had its 3rd reading in the Commons – Royal Assent expected mid May • Regulations and guidance due to be published mid May – up to 12 weeks consultation • Finalised secondary legislation October 2014 • Part 1 implementation – April 2015 • Part 2 – April 16

  10. Critical areas for implementation • Workforce – ensuring capacity and skills to deliver reforms • IT – care records, new charging, deferred payments • Advice and information - building a comprehensive and accessible service • Understanding how much it is going to cost – financial modelling for the cap plus implementation costs

  11. Building capacity • DH investment in regional structures - seen as pivotal to drive preparation for implementation • Sharing good practice, knowledge and learning – avoiding duplication • Focal point for communication – understanding obstacles, managing risks – surfacing wicked issues

  12. Key risks that are emerging • Still a significant number of policy ‘unknowns’ – working age cap, national eligibility threshold • Uncertainty about total costs of implementation • Context of spending review • State of readiness in adult social care – scale of change

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